NPI | 1780386540 |
---|---|
Doing Business As | WEST CARY DENTAL |
Entity Type | Organization |
Authorized Contact | CHAD HENDRICKS Credentialing 612-859-0444 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-03-17 |
Last Update Date | 2023-03-17 |